Minimal and normal-flow general anesthesia in patients undergoing surgery in prone position: impact on hemodynamics and regional cerebral oxygenation

Purpose: In this study, the aim to assess the combined effects of prone-positioning (PP) and minimal-flow (MF) general anesthesia on regional cerebral oxygenation (RCO) and systemic hemodynamics. Methods: This is a randomized prospective study aiming to evaluate changes in cerebral oxygenation and hemodynamic parameters in MF systemic anesthesia in patients undergoing surgery in PP. Patients were randomized to MF or normal-flow (NF) anesthesia. In the operating room, pulse rate, mean arterial pressure (MAP), peripheral hemoglobin oxygen saturation (spO2), and right- and left-side RCO (assessed by nearinfrared spectroscopy, NIRS) were measured perioperatively. Results: Overall, 46 patients were included (24 in the MF group and 22 in the NF group). The amount of anesthetic gas consumption was significantly lower in the low-flow (LF) group. In both groups, the mean pulse rate showed a decrease after PP. Before induction, RCO was significantly higher both at the right- and left-sides in the LF group compared to the NF group. This difference continued throughout the operation on the left-side and disappeared 10 min after intubation on the right-side. On the left side, mean RCO decreased after PP in both groups. Conclusion: MF anesthesia in PP did not reduce cerebral oxygenation compared to NF and was safe in terms of systemic hemodynamics and cerebral oxygenation.

B-mode and Doppler ultrasound of bitches' kidneys with mammary neoplasia submitted to adjuvant chemotherapy / Ultrassonografia modo-B e Doppler dos rins de cadelas com neoplasias mamárias submetidas à quimioterapia adjuvante

Mammary neoplasia represents the most frequently diagnosed type of neoplasia in bitches. Although surgical removal is the procedure of choice for therapeutic management, chemotherapy protocols appear as important allies and adjuvants. Despite the great advances that have occurred in the field of cancer therapy, the systemic repercussions of these drugs still impose important limitations on their use. In this sense, the development of increasingly targeted therapeutic protocols and preventive monitoring of patients represent important strategies to avoid possible complications - among them, Acute Kidney Injury (AKI). Routinely, ultrasound evaluation is used to identify morphological or metastatic variations in abdominal cavity organs. Acting complementary to the B-mode evaluation, Doppler mapping proves to be efficient in recognizing alterations in vascular hemodynamics. Therefore, the objective of the present study was to evaluate the use of B-mode and Doppler ultrasound to identify renal morphological and hemodynamic alterations in bitches with mammary neoplasia submitted to adjuvant chemotherapy protocols that associate gemcitabine with carboplatin. Thirteen bitches were included, without distinction of breed and between seven and 13 years of age. The animals were evaluated ultrasonographically at two different times during three consecutive chemotherapy cycles: before (T0) and one and a half hours after each cycle (T1), for 42 days. No morphological changes were observed in B-mode throughout the chemotherapy protocol. However, the Doppler velocimetry indices demonstrated statistical differences before (T0) and after (T1) the administration of the drugs. It was concluded that Doppler ultrasound could be used as a complementary method for monitoring the renal response of patients exposed to nephrotoxic drugs and potentially causing renal injury.

As neoplasias mamárias representam o tipo de neoplasma mais frequentemente diagnosticado em fêmeas da espécie canina. Embora a remoção cirúrgica seja o procedimento de eleição para a conduta terapêutica, os protocolos quimioterápicos aparecem como importantes aliados e adjuvantes. Apesar dos grandes avanços ocorridos na área da terapia oncológica, as repercussões sistêmicas destes fármacos ainda impõem importantes limitações ao seu uso. Neste sentido, o desenvolvimento de protocolos terapêuticos cada vez mais direcionados e o monitoramento preventivo dos pacientes representam estratégias importantes para evitar possíveis complicações - dentre elas, a injúria renal aguda (IRA). Rotineiramente, a avaliação ultrassonográfica é utilizada para identificação de variações morfológicas ou metastáticas em órgãos da cavidade abdominal. Atuando de forma complementar à avaliação em modo-B, o mapeamento Doppler mostra-se eficiente no reconhecimento de alterações na hemodinâmica vascular. Portanto, o objetivo do presente estudo foi avaliar a utilização da ultrassonografia modo-B e Doppler como método para identificação de alterações morfológicas e hemodinâmicas renais em cadelas com neoplasias mamárias submetidas a protocolos quimioterápicos adjuvantes que associam a gencitabina à carboplatina. Foram incluídas 13 fêmeas caninas, sem distinção quanto a raça e com idades entre sete e 13 anos. Os animais foram avaliados ultrassonograficamente em dois momentos distintos durante três ciclos quimioterápicos consecutivos: antes (T0) e uma hora e meia após a realização de cada ciclo (T1), totalizando 42 dias. Não foram observadas alterações morfológicas em modo-B ao longo do protocolo quimioterápico. Entretanto, os índices dopplervelocimétricos demonstraram diferenças estatísticas antes (T0) e após (T1) a administração dos fármacos. Concluiu-se que a ultrassonografia Doppler pode ser utilizada como método complementar para o monitoramento da resposta renal de pacientes expostos a fármacos nefrotóxicos e potencialmente causadores de injúrias renais.

Níveis de progesterona e os parâmetros reprodutivos no período periovulatório de vacas Nelore submetidas ao protocolo de IATF / Progesterone levels and reproductive parameters in the periovulatory period of Nellore cows under FTAI protocol

Background: Fixed Time Artificial Insemination (FTAI) has achieved a significant evolution in the last 18 years, however, despite the progress achieved by modern FTAI programs, the conception rates obtained are still low. Therefore, this study aimed to evaluate the interrelation between progesterone levels in the periovulatory period and reproductive parameters of Nellore cows submitted to an FTAI protocol. Materials, Methods & Results: On a random day, called day 0 (D0), 57 cows received a P4 device associated with the intramuscular (IM) application of 2.0 mg of estradiol benzoate. On D9, the P4 devices were removed and then were administered 500 µg of cloprostenol sodium IM; 0.6 mg of estradiol cypionate IM and 300 IUI of Equine Chorionic Gonadotrophin IM. Blood samples were collected for the determination of serum P4 concentrations on D9 and D11 of the protocol. The evaluations of follicular diameter (DFOL), follicular wall area (AFOL) and the vascularization area of the follicle wall (VFOL) were carried out on D11 using B-mode ultrasonography examination and colour Doppler, and then the artificial inseminations were performed. The evaluation of the corpus luteum diameter (CLD), of the total corpus luteum area (CLA), of the area of corpus luteum vascularization (CLV) and blood sampling for determination of postovulatory P4 levels (Post-P4) were performed on D24. For the analysis of the P4 concentration the chemiluminescence method was used, with a sensitivity of 0.1 ng/mL. According to the P4 concentrations on D11, cows were divided into 2 groups, LOW LEVELS OF P4 and HIGH LEVELS OF P4. The diagnosis of pregnancy was performed using transrectal ultrasonography on D45, at this point the cows were divided into 2 groups, PREGNANT and NON-PREGNANT. The correlation between DFOL and P4 dosage on D11 was moderate, negative and significant and between the AFOL and the serum P4 levels on D9, was moderate, negative and significant. As for the other correlations between follicular and luteal parameters and serum P4 levels, these were low to moderate, negative and not significant. Cows in the LOW LEVELS OF P4 group had significantly larger diameter and follicular areas than the cows in the HIGH LEVELS OF P4 group, the other follicular and luteal parameters showed no statistical difference. Of the total 57 cows that were inseminated, 30 cows became pregnant. Cows in the PREGNANT group had serum P4 levels on D9 equivalent to that obtained by the NON-PREGNANT group. However, at D11 the cows that became pregnant presented significantly lower serum P4 levels than cows that did not become pregnant. Discussion: The results of the interrelation between follicular parameters and P4 levels obtained in the present study, pointed out that the lower the levels of P4, the higher the follicular parameters, corroborating with other authors. Thus, larger preovulatory follicles provided high ovulation rates. Periovulatory serum P4 levels did not significantly affect the morphofunctional parameters of the CL. Such findings may be justified by high periovulatory P4 levels resulting from less efficient luteolysis, exert a negative effect on the results of FTAI protocols, because progesterone inhibits the release of LH pulses. It is concluded that lower periovulatory P4 levels established a favourable condition for follicular development and fertility, however, morphofunctional parameters of the corpus luteum were not affected.

Comparative compositional and functional venomic profiles among venom specimens from juvenile, subadult and adult Russell's viper ( Daboia siamensis ): correlation with renal pathophysiology in experimental rabbits

Abstract Background: Eastern Russell's viper (Daboia siamensis) is one of the most medically significant snakes responsible for the development of acute renal failure. However, variation of the clinical picture and renal pathophysiology following bites by young and adult D. siamensis have not been elucidated. Methods: In this study, we analyzed the venomic profiles of D. siamensis at different maturation stages of juvenile, subadult and adult groups. The same pooled venom from each group was subjected to enzymatic, electrophoretic and proteomic analysis, including sublethal toxicity (0.1 mg/kg iv.) examined on bodily functions by comparing the venom compositional and functional profiles among venom specimens from juvenile, subadult and adult D. siamensis by correlating them with the renal pathophysiology in experimental rabbits. Results: The comparative studies revealed that juvenile venom possessed higher phospholipase A2 , metalloproteinase and serine proteinase levels, while subadult and adult venoms contained more L-amino acid oxidase, phosphodiesterase, the Kunitz-type serine protease inhibitor, disintegrin families and endothelial growth factor. An in vivo study revealed that the adult and subadult venoms caused persistent hypotension and bradycardia, while thrombocytopenia was a more characteristic effect of juvenile venom. All venom age groups showed significant reductions in renal hemodynamics and electrolyte excretions. The juvenile venom caused a higher tubulonephrosis lesion score than adult and subadult venoms. Conclusions: The D. siamensis venom shows an ontogenetic shift in its compositions and activities. Renal function alterations after envenomation depend on either the synergistic actions of different venom components or the disproportionate expression between the concentrations of enzymatic and non-enzymatic proteins in each age venom group. The high proportion of enzymatic toxin proteins in the juvenile venom results in greater nephrotoxicity.(AU)

Bezold-Jarisch reflex induced by dopamine during isoflurane anesthesia in small dogs

Background: Unlike other major reflexes contributing to hemodynamic homeostasis, the Bezold-Jarisch reflex (BJR)paradoxically decreases heart rate (HR) and mean arterial pressure (MAP) despite hypotension. In the veterinary field,there are few reported cases of BJR induced by dopamine, which is often used to manage hypotension. Herein, 2 casesinvolving small dogs exhibiting BJR due to dopamine infusion during general anesthesia are described.Cases: Case 1: A 7-year-old, 7 kg, mongrel was referred for external skeletal fixator removal. The patient was premedicatedwith 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol intravenously (IV). General anesthesia was induced with 6 mg/kgpropofol and maintained with 1.6% isoflurane in oxygen. The patient was given 5 mL/kg/h of Hartmann’s solution IV. Therespiratory rate (RR) was set to 9 breaths/min with a ventilator. The HR and MAP values were initially 120 bpm and 76mmHg and gradually decreased to 70 bpm and 40 mmHg, respectively. The end-tidal CO2 partial pressure (ETCO2) was 39mmHg, and the patient was administered 2.5 μg/kg glycopyrrolate IV. Then, 5 μg/kg/min dopamine was administered IVsince the MAP did not improve. The HR, MAP, and ETCO2 increased to 113 bpm, 72 mmHg, and 47 mmHg, respectively.Subsequently, HR and MAP dramatically decreased to 50 bpm and 43 mmHg, respectively. A second-degree atrioventricularblock was detected, prompting dopamine infusion discontinuation, and 2.5 μg/kg glycopyrrolate was again administeredIV. Within 5 min, HR and MAP values normalized, and postoperative patient recovery was typical. Case 2: A 2-year-old,8.6 kg, mongrel underwent surgery to correct a medial luxating patella of the right leg. The patient was premedicated with0.3 mg/kg midazolam and 0.2 mg/kg butorphanol IV. Anesthesia was induced with 4 mg/kg propofol IV and maintained...

Bezold-Jarisch reflex induced by dopamine during isoflurane anesthesia in small dogs

Background: Unlike other major reflexes contributing to hemodynamic homeostasis, the Bezold-Jarisch reflex (BJR)paradoxically decreases heart rate (HR) and mean arterial pressure (MAP) despite hypotension. In the veterinary field,there are few reported cases of BJR induced by dopamine, which is often used to manage hypotension. Herein, 2 casesinvolving small dogs exhibiting BJR due to dopamine infusion during general anesthesia are described.Cases: Case 1: A 7-year-old, 7 kg, mongrel was referred for external skeletal fixator removal. The patient was premedicatedwith 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol intravenously (IV). General anesthesia was induced with 6 mg/kgpropofol and maintained with 1.6% isoflurane in oxygen. The patient was given 5 mL/kg/h of Hartmanns solution IV. Therespiratory rate (RR) was set to 9 breaths/min with a ventilator. The HR and MAP values were initially 120 bpm and 76mmHg and gradually decreased to 70 bpm and 40 mmHg, respectively. The end-tidal CO2 partial pressure (ETCO2) was 39mmHg, and the patient was administered 2.5 μg/kg glycopyrrolate IV. Then, 5 μg/kg/min dopamine was administered IVsince the MAP did not improve. The HR, MAP, and ETCO2 increased to 113 bpm, 72 mmHg, and 47 mmHg, respectively.Subsequently, HR and MAP dramatically decreased to 50 bpm and 43 mmHg, respectively. A second-degree atrioventricularblock was detected, prompting dopamine infusion discontinuation, and 2.5 μg/kg glycopyrrolate was again administeredIV. Within 5 min, HR and MAP values normalized, and postoperative patient recovery was typical. Case 2: A 2-year-old,8.6 kg, mongrel underwent surgery to correct a medial luxating patella of the right leg. The patient was premedicated with0.3 mg/kg midazolam and 0.2 mg/kg butorphanol IV. Anesthesia was induced with 4 mg/kg propofol IV and maintained...(AU)

Effects of dexmedetomidine on hemodynamic, oxygenation, microcirculation, and inflammatory markers in a porcine model of sepsis

Purpose: To determine whether dexmedetomidine aggravates hemodynamic, metabolic variables, inflammatory markers, and microcirculation in experimental septic shock. Methods: Twenty-four pigs randomized into: Sham group (n = 8), received saline; Shock group (n = 8), received an intravenous infusion of Escherichia coli O55 (3 × 109 cells/mL, 0.75 mL/kg, 1 hour); Dex-Shock group (n = 8), received bacteria and intravenous dexmedetomidine (bolus 0.5 mcg/kg followed by 0.7 mcg/kg/h). Fluid therapy and/ornorepinephrine were administered to maintain a mean arterial pressure > 65 mmHg. Hemodynamic, metabolic, oxygenation, inflammatory markers, and microcirculation were assessed at baseline, at the end of bacterial infusion, and after 60, 120, 180, and 240 minutes. Results: Compared to Shock group, Dex-Shock group presented a significantly increased oxygen extraction ratio at T180 (23.1 ± 9.7 vs. 32.5 ± 9.2%, P = 0.0220), decreased central venous pressure at T120 (11.6 ± 1 vs. 9.61 ± 1.2 mmHg, P = 0.0214), mixed-venous oxygen saturation at T180 (72.9 ± 9.6 vs. 63.5 ± 9.2%, P = 0.026), and increased plasma lactate (3.7 ± 0.5 vs. 5.5 ± 1 mmol/L, P = 0.003). Despite the Dex-Shock group having a better sublingual vessel density at T240 (12.5 ± 0.4 vs. 14.4 ± 0.3 mL/m2; P = 0.0003), sublingual blood flow was not different from that in the Shock group (2.4 ± 0.2 vs. 2.4 ± 0.1 mL/kg, P = 0.4418). Conclusions: Dexmedetomidine did not worsen the hemodynamic, metabolic, inflammatory, or sublingual blood flow disorders resulting from septic shock. Despite inducing a better sublingual vessel density, dexmedetomidine initially and transitorily increased the mismatch between oxygen supply and demand.

Conventional vs. advanced echocardiographic parameters for predicting fluid responsiveness in healthy dogs

Background: Volume replacement is considered an essential component in the treatment of critically ill patients, but excess f luid administration can be as harmful as the lack of fluid therapy. Therefore, the volume replacement is only beneficial in patients deemed to be fluid responsive, that is, when the individual has an increase in their stroke volume after administration of a volume challenge. This study aim to assess whether conventional and advanced echocardiographic parameters for assessing left ventricular systolic function are able to predict fluid responsiveness in healthy spontaneously breathing dogs. The hypothesis was that some of these parameters would differ between responsive and non-responsive animals and could be used as a complementary measure for assessment of fluid responsiveness. Materials, Methods & Results: A prospective study was carried out in which 22 client-owned healthy dogs over 1 year of age that presented to the Veterinary Medical Teaching Hospital for elective neutering procedure were included. All dogs underwent conventional and advanced echocardiographic examination to obtain the left ventricular internal diameter in diastole normalized (LVIDDn), left ventricular internal diameter in systole normalized (LVIDSn), ejection fraction (EF) and shortening fraction (SF) according to the Teischholz methodology, global longitudinal strain (GLS) and tissue motion annular displacement (TMAD). There parameters were evaluated before and after administration of a volume challenge with 10 mL/kg lactate ringer intravenously for 20 min. Based on the variation in aortic velocity integral time, 31.82% of dogs were considered responsive and 68.18% were non-responsive to the volume challenge. For advanced echocardiography, TMAD indexed by body weight (mm/kg) > 0.89 (P = 0.004) and body surface area (mm/m2) >18.9 (P = 0.004) after volume challenge had the best area...

Ultrasonographic aspects of the uterus and ovaries of bitches during the estrous cycle paper review / Aspectos ultrassonográficos do útero e ovários de cadelas durante o ciclo estral revisão de literatura

The ultrasonographic exam is of great value in animal reproduction and veterinary obstetrics, because it allows gestational diagnosis and monitoring, as well as the evaluation of the female reproductive system, providing diagnosis of the reproductive state and estrous phase of females. One of the techniques that has been employed in the field of theriogenology is the Doppler Mode, which allows qualitative and quantitative evaluation of the hemodynamics of reproductive organs. Several studies were carried out in attempt to elucidate the ultrasonographic aspect of the uterus and ovaries of bitches during the different phases of the estrous cycle in B mode and Doppler mode. The objective of the present study is to review the information present in the literature regarding the sonographic changes of the reproductive organs of bitches during the different hormonal phases.(AU)

O exame ultrassonográfico tem grande importância na reprodução animal e obstetrícia veterinária, pois permite o diagnóstico e acompanhamento gestacional, bem como a avaliação do sistema reprodutor, proporcionando o diagnóstico do status reprodutivo e fase do ciclo estral. Uma das técnicas ultrassonográficas que vêm sendo empregadas no ramo da teriogenologia é o modo Doppler, que permite avaliações qualitativas e quantitativas da hemodinâmica dos órgãos da reprodução. Diversos estudos foram realizados na tentativa de elucidar o aspecto ultrassonográfico do útero e dos ovários das cadelas durante as diferentes fases do ciclo estral ao modo-B e ao modo Doppler. O presente trabalho tem como objetivo revisar as informações presentes na literatura a respeito das mudanças ultrassonográficas dos órgãos reprodutores da cadela durante as diferentes fases hormonais.(AU)

Ultrasonographic aspects of the uterus and ovaries of bitches during the estrous cycle – paper review / Aspectos ultrassonográficos do útero e ovários de cadelas durante o ciclo estral – revisão de literatura

The ultrasonographic exam is of great value in animal reproduction and veterinary obstetrics, because it allows gestational diagnosis and monitoring, as well as the evaluation of the female reproductive system, providing diagnosis of the reproductive state and estrous phase of females. One of the techniques that has been employed in the field of theriogenology is the Doppler Mode, which allows qualitative and quantitative evaluation of the hemodynamics of reproductive organs. Several studies were carried out in attempt to elucidate the ultrasonographic aspect of the uterus and ovaries of bitches during the different phases of the estrous cycle in B mode and Doppler mode. The objective of the present study is to review the information present in the literature regarding the sonographic changes of the reproductive organs of bitches during the different hormonal phases.

O exame ultrassonográfico tem grande importância na reprodução animal e obstetrícia veterinária, pois permite o diagnóstico e acompanhamento gestacional, bem como a avaliação do sistema reprodutor, proporcionando o diagnóstico do status reprodutivo e fase do ciclo estral. Uma das técnicas ultrassonográficas que vêm sendo empregadas no ramo da teriogenologia é o modo Doppler, que permite avaliações qualitativas e quantitativas da hemodinâmica dos órgãos da reprodução. Diversos estudos foram realizados na tentativa de elucidar o aspecto ultrassonográfico do útero e dos ovários das cadelas durante as diferentes fases do ciclo estral ao modo-B e ao modo Doppler. O presente trabalho tem como objetivo revisar as informações presentes na literatura a respeito das mudanças ultrassonográficas dos órgãos reprodutores da cadela durante as diferentes fases hormonais.

Comparison of the internal thoracic artery flow dissected by video endoscopy or conventional technique

ABSTRACT Purpose: To compare the blood flow in the internal thoracic artery when dissected endoscopically in a conventional manner, in addition to develop a reliable experimental training model for the surgical team. Methods: Paired experimental study. Ten pigs were operated and had both internal thoracic arteries dissected, the right with a conventional technique and the left by video endoscopy. The main outcomes to be studied were flow, length, and time of dissection of each vessel. Results: Blood flow measurements were performed with mean heart rate of 100 ± 16 bpm and mean arterial pressure of 89.7 ± 13 mm Hg. The mean blood flow of endoscopic dissection of the internal thoracic artery was 170.2 ± 66.3 mL/min and by direct view was 180.8 ± 70.5 (p = 0.26). Thus, there was no statistically significant difference between the flows, showing no inferiority between the methods. Conclusions: The minimally invasive dissection of the internal thoracic artery was shown to be not inferior to the dissection by open technique in relation to the blood flow in the present experimental model. In addition, the model that we replicated was shown to be adequate for the development of the learning curve and improvement of the endoscopic abilities.

Clinical application of Doppler ultrasound in the diagnosis of fertility problems in equines / Aplicações da ultrassonografia Doppler no diagnóstico de problemas de fertilidade em equinos

The use of different ultrasound modalities (color, power and pulsed Doppler) in clinical research has enhanced knowledge of reproductive pathophysiology in equine, in addition to improving the clinical diagnosis of reproductive disorders in both the stallion and the mare. In the stallion, color Doppler ultrasound has improved the diagnostic potential of conventional ultrasound, improving the differential diagnosis of pathologies such as testicular torsion (decrease or absence of blood flow in the cord) and orchitis (increased blood flow in the cord). The function of the testicle is highly dependent on the blood flow it receives; therefore, any vascular alterations can affect both the quality and production of sperm. In recent years there have been a greater number of studies in which Doppler ultrasound is used as a tool in the diagnosis of testicular dysfunction and in the monitoring of medical and surgical treatments. In the mare, ultrasound technology has allowed numerous advances in basic research regarding the vascular hemodynamics of the ovary and uterus. Moreover, it has become an indispensable tool in reproductive practice. Among the clinical applications of this technique in mares are the evaluation of CL (corpus luteum) functionality, being a useful tool in the selection of recipients in embryo transfer programs or the use of power Doppler in the diagnosis of pregnancy as early as 7 days postovulation prior to flushing. Finally, the incorporation of color and pulsed Doppler ultrasound into the examination improves the diagnosis of mares with endometritis due to a pathological increase in uterine blood flow.

Ozonioterapia no tratamento auxiliar de éguas inférteis: Potencial angiogênico e antimicrobiano / Ozone therapy in the supporting treatment of infertile mares: Angiogenic and antimicrobial actions

A endometrite infecciosa é considerada uma das principais causas de infertilidade em éguas. Por sua vez, alterações degenerativas endometriais interferem diretamente na hemodinâmica uterina, podendo comprometer a fertilização e a manutenção da gestação. Por serem poderosos agentes oxidantes nãoespecíficos, o gás ozônio (O3) e os óleos vegetais ozonizados tem sido utilizados como alternativas às terapias antimicrobianas convencionais. Além de apresentar ação germicida frente a forma livre de fungos e bactérias, a ozonioterapia possui marcante potencial antibiofilme. Adicionalmente, o preenchimento da cavidade uterina de éguas com gás O3 estimula a angiogênese local sem apresentar efeitos deletérios ao endométrio. Dessa forma, os potencias antimicrobianos e angiogênicos fazem da ozonioterapia uma promissora alterativa para o tratamento adjuvante de endometrites crônicas em éguas.

Infectious endometritis is considered one of the main causes of infertility in mares. Similarly, endometrial degenerative changes directly affect the uterine hemodynamics, compromising the fertilization and the maintenance of pregnancy. Based on their powerful non-specific oxidizing action, ozone (O3) and ozonized vegetable oils have been used as alternatives to conventional antimicrobial therapies. In addition to the germicidal effect against the free-living cells of fungi and bacteria, O3 therapy has showed unspecific anti-biofilm potential. Additionally, the insufflation of the uterine cavity of mares with O3 stimulates local angiogenesis without inducing deleterious effects on the endometrium. Therefore, the antimicrobial and angiogenic potentials make O3 therapy a promising alternative for the adjuvant treatment of persistent endometritis in mares.

B-mode and Doppler ultrasonography of abdominal structures of the peccary (Tayassu tajacu, Linnaeus 1758) / [Ultrassonografias Doppler e modo-B das estruturas abdominais de catetos (Tayassu tajacu Linnaeus, 1758)]

This study used B-mode and Doppler ultrasonography to characterize the abdominal structures of healthy peccaries raised in captivity. Fifteen peccaries were used for this study. The urinary vesicle appeared as an ovoid structure, located in the abdominal and pelvic transition, with a hyperechogenic, thin, smooth, and regular wall. The kidneys presented retroperitoneal topography and had similar sizes. The kidney/aorta ratio had an average value of 10.53±15cm (right) and 10.23±0.12 (left). The right adrenal gland had a length of 1.93±0.34cm and diameter of 0.56±0.16cm. The left adrenal gland had a length of 1.85±0.42cm and diameter of 0.52±0.11cm. The spleen had a diameter of 1.13±0.18cm. The hepatic vein demonstrated polyphasic flow in pulsed Doppler, with two retrograde peaks and an anterograde peak with a flow velocity of 25.7±0.83cm/s. The abdominal aorta had a diameter of 0.58±0.05cm and a flow velocity of 115.17±5.32cm/s. The morphological and hemodynamic study of the abdominal structures of the peccary, observed through B-mode and Doppler ultrasonography, aided in identifying the size, shape, position, echogenicity, and echotexture of the abdominal organs and in making inferences about the normal parameters for these structures in this species.(AU)

Este estudo teve como objetivo utilizar as ultrassonografias de modo-B e Doppler para caracterizar as estruturas abdominais de um cateto sadio criado em cativeiro. Quinze catetos foram utilizados para este estudo. A vesícula urinária apareceu como uma estrutura ovoide, localizada na transição entre as partes abdominal e pélvica, com uma parede hiperecogênica, fina, lisa e regular. Os rins apresentaram topografia retroperitoneal e tamanhos semelhantes. A relação rim/aorta teve um valor médio de 10,53 ± 15cm (direita) e 10,23 ± 0,12cm (esquerda). A glândula adrenal direita tinha um comprimento de 1,93 ± 0,34cm e um diâmetro de 0,56 ± 0,16cm. A glândula suprarrenal esquerda tinha um comprimento de 1,85 ± 0,42cm e um diâmetro de 0,52 ± 0,11cm. O baço tinha um diâmetro de 1,13 ± 0,18cm. A veia hepática demonstrou fluxo polifásico no Doppler pulsátil, com dois picos retrógrados e um pico anterógrado com velocidade de fluxo de 25,7±0,83cm/s. A aorta abdominal tinha um diâmetro de 0,58 ± 0,05cm e uma velocidade de fluxo de 115,17±5,32cm/s. Os estudos morfológico e hemodinâmico das estruturas abdominais do queixada, observadas por meio das ultrassonografias modo-B e Doppler, auxiliaram na identificação do tamanho, da forma, da posição, da ecogenicidade e da ecotextura dos órgãos abdominais e na realização de inferências sobre os parâmetros de normalidade para as estruturas nas espécies.(AU)

Efeitos da PEEP na ventilação controlada a volume sobre parâmetros hemodinâmicos em suínos submetidos ao pneumoperitônio associado ao cefalodeclive / Effects of PEEP on hemodynamic variables in pigs submitted to volume-controlled ventilation under pneumoperitoneum associated to cephalodeclive

Videolaparoscopic procedures have gained prominence due to their low invasiveness, causing less surgical trauma and better post-surgical recovery. However, the increase in intra-abdominal pressure due to the institution of pneumoperitoneum can alter the patient's homeostasis. Therefore, volume-controlled ventilation, associated with positive end-expiratory pressure (PEEP), improves arterial oxygenation and prevents pulmonary collapse, but it can lead to important hemodynamic changes. The aim of this study was to evaluate, comparatively, the effects of positive end expiratorypressure (PEEP) on hemodynamic variables of pigs submitted to volume-controlled ventilation, during pneumoperitoneum and maintained in head-down tilt and determine which PEEP value promotes greater stability on hemodynamic variables. Twenty-four pigs were used, between 55 and 65-day-old, weighing between 15 and 25 kg, randomly divided into 3 distinct groups differentiated by positive end-expiratory pressure: PEEP 0 (volume-controlled ventilation and PEEP of 0 cmH2O), PEEP 5 (volume-controlled ventilation and PEEP of 5 cmH2O) and PEEP 10 (volume-controlled ventilation and PEEP of 10 cmH2O). Volume-controlled ventilation was adjusted to 8 mL/kg of tidal volume and a respiratory rate of 25 movements per min. Anesthesia was maintained with continuous infusion of propofol (0.2 mg/kg/min) and midazolam (1 mg/kg/h). Pneumoperitoneum was performed with carbon dioxide (CO2), keeping the intraabdominal pressure at 15 mmHg and the animals were positioned on a 30° head-down tilt. The evaluations of hemodynamic variables started 30 min after induction of anesthesia (M0), followed by measurements at 15-min intervals (from M15 to M90), completing a total of 7 evaluations. The variables of interest were collected over 90 min and submitted to analysis of variance followed by Tukey's post-hoc test, with P < 0.05. The PEEP 10 group had higher values of CVP and mCPP, while the PEEP 5 group, mPAP and PVR were higher. The PEEP 0 group, on the other hand, had higher means of CI. Regarding the moments, there were differences in HR, SAP, DAP, MAP, CO, IC and TPR. According to the literature, important hemodynamic effects due to pneumoperitoneum are reported, which can be caused by the pressure used in abdominal insufflation, CO2 accumulation, duration of the surgical procedure, hydration status and patient positioning. Mechanical ventilation associated with PEEP can also cause an increase in intrathoracic pressure and, therefore, reduce cardiac output. Cardiovascular changes are proportional to the PEEP used. Central venous pressure (PVC) measure the patient's preload, and intrathoracic pressure can interfere with this parameter. The peak pressure values in the PEEP 10 group were higher than the other groups, demonstrating that the increase in intrathoracic pressure results in higher PVC values. Regarding PAPm and PCPm, these variables can be influenced according to the PEEP values and the patient's position. In relation to CI, the increase in PEEP may reflect on intrathoracic pressure, resulting in greater compression of the heart, with a consequent reduction in cardiac output and cardiac index. Therefore, it is concluded that the PEEP effects of 0 cmH2O and 5 cmH2O on hemodynamics are discrete, under the proposed conditions.(AU)

Evaluation of acute cardiorespiratory and hemodynamic changes in perioperative intravenous antimicrobial applications in cats / [Avaliação das alterações cardiorespiratórias e hemodinâmicas agudas em aplicações pré-operatórias de antimicrobianos, pela via intravenosa, em gatos]

The metabolic peculiarities of felines favor an intoxication. Fifty healthy female cats were divided into five groups: PG (placebo group), G2 (cefazolin), G3 (ceftriaxone), G4 (enrofloxacin) and G5 (ampicillin) were used. The parameters evaluated were: total expired carbon dioxide (ETCO2), oxygen saturation in hemoglobin (SpO2), heart rate (HR), respiratory rate (RR), body temperature (BT), systolic, mean and diastolic blood pressure (SBP, mBP and DBP) by invasive method, at T0, 5 (T5), 10 (T10), 15 (T15), 20 (T20), 25 (T25) and 30 (T30) minutes after administration of the treatments. HR presented reduction in G2 compared to PG at all times, except T20, and in G4, T25 and T30 were lower than the T0 values (P<0.05). BT showed increase in the G3 at T0 and T5 and all groups showed reduction in the values of BT relative to T0 (P<0.05). ETCO2 increased in G2 and G5 at all times compared to PG (P<0.05) and there were no differences among the times within each group. It was concluded that ceftriaxone is safer for the prophylactic antimicrobial use in cats, however the other antimicrobials are also indicated, because all the parameters, in all groups, basically did not change over the study and when this occurs it remains in reference interval.(AU)

As peculiaridades metabólicas dos felinos favorecem quadro de intoxicação. Foram utilizadas 50 gatas saudáveis, que foram divididas em cinco grupos: GP (grupo placebo), G2 (grupo cefazolina), G3 (grupo ceftriaxona), G4 (grupo enrofloxacina) e G5 (grupo ampicilina). Os seguintes parâmetros foram avaliados: dióxido de carbono expirado (ETCO2), saturação de oxigênio na hemoglobina (SpO2), frequência cardíaca (FC), frequência respiratória (FR), temperatura corporal (T°C), pressão arterial sistólica,média e diastólica (PAS, PAM e PAD), pelo método invasivo, em 0 (T0), 5 (T5), 10 (T10), 15 (T15), 20 (T20), 25 (T25) e 30 (T30) minutos após a administração dos tratamentos. A FC apresentou redução no G2 em relação ao GP em todos os momentos, exceto no T20, e, no G4, o T25 e o T30 foram inferiores aos valores do T0 (P<0,05). A T°C apresentou aumento no G3 no T0 e no T5, e todos os grupos apresentaram redução nos valores da T°C em relação ao T0 (P<0,05). O ETCO2 apresentou aumento no G2 e no G5, em todos os momentos, em relação ao GP (P<0,05). Concluiu-se que a ceftriaxona é mais segura para uso profilático em gatos, entretanto os outros antibióticos também são recomendados, pois todos os parâmetros praticamente não se modificaram e, quando alterados, mantiveram-se dentro dos padrões de referência.(AU)

Influencia do peso na hemodinâmica testicular em cães avaliados através da ultrassonografia Doppler / Influence of weight on testicular hemodynamics in dogs evaluated by Doppler ultrasound

A ultrassonografia com ferramenta Doppler é o melhor método de avaliação da vascularização testicular. Objetivou-se comparar a influência do peso dos animais e do lado testicular em relação à hemodinâmica da artéria testicular de cães. Foram utilizados 17 cães machos sadios, com idades entre 8 e 48 meses. Os animais foram pesados e divididos em dois grupos: 1) 0-20 kg e 2) >20 kg, colocados em decúbito dorsal e a artéria testicular foi localizada na região de cordão espermático, com a ferramenta Doppler colorido e pulsado. Os parâmetros de velocidade do fluxo sanguíneo e os índices hemodinâmicos foram determinados em avaliação única. Utilizou-se o Modelo misto do SAS para determinar os efeitos de peso (> ou < 20kg) e lado (direito e esquerdo) das variáveis (VPS, VFD, TAMEAN, TAMAX, RI, PI, S/D, DA). A onda encontrada nessa região foi de padrão de baixa resistividade. Não foram identificados efeitos de lado nas variáveis avaliadas. O diâmetro da artéria testicular foi maior (AU)

Doppler ultrasonography is the best method to evaluate testicular vascularization. The objective of this study was to compare the influence of animal weight and testicular side on the hemodynamics of testicular artery in dogs. Seventeen healthy male dogs, aged between 8 and 48 months, were used. The animals were weighed and divided into: 1) 0-20 kg and 2)> 20 kg., Placed in dorsal decubitus position and the testicular artery was located in the region of the spermatic cord, using the pulsed and colored Doppler tool. The parameters of blood flow velocity and hemodynamic indices were determined in a single evaluation. The mixed SAS model was used to determine the effects of weight (> or < 20Kg) and side (right and left) variables (VPS, VFD, TAMEAN, TAMAX, RI, PI, S / D, DA, VFS). The wave found in this region was pattern of low resistance. No side effects were identified in the variables evaluated. Diameter of the testicular artery was higher (p<0.05) (1.86mm) in the group of animals of greater weight. In dogs, testicular diameter may be influenced by animal weight. It should be taken into account at the time of interpretation as this may influence the estimates of arterial diameter.(AU)

Influencia do peso na hemodinâmica testicular em cães avaliados através da ultrassonografia Doppler / Influence of weight on testicular hemodynamics in dogs evaluated by Doppler ultrasound

A ultrassonografia com ferramenta Doppler é o melhor método de avaliação da vascularização testicular. Objetivou-se comparar a influência do peso dos animais e do lado testicular em relação à hemodinâmica da artéria testicular de cães. Foram utilizados 17 cães machos sadios, com idades entre 8 e 48 meses. Os animais foram pesados e divididos em dois grupos: 1) 0-20 kg e 2) >20 kg, colocados em decúbito dorsal e a artéria testicular foi localizada na região de cordão espermático, com a ferramenta Doppler colorido e pulsado. Os parâmetros de velocidade do fluxo sanguíneo e os índices hemodinâmicos foram determinados em avaliação única. Utilizou-se o Modelo misto do SAS para determinar os efeitos de peso (> ou < 20kg) e lado (direito e esquerdo) das variáveis (VPS, VFD, TAMEAN, TAMAX, RI, PI, S/D, DA). A onda encontrada nessa região foi de padrão de baixa resistividade. Não foram identificados efeitos de lado nas variáveis avaliadas. O diâmetro da artéria testicular foi maior

Doppler ultrasonography is the best method to evaluate testicular vascularization. The objective of this study was to compare the influence of animal weight and testicular side on the hemodynamics of testicular artery in dogs. Seventeen healthy male dogs, aged between 8 and 48 months, were used. The animals were weighed and divided into: 1) 0-20 kg and 2)> 20 kg., Placed in dorsal decubitus position and the testicular artery was located in the region of the spermatic cord, using the pulsed and colored Doppler tool. The parameters of blood flow velocity and hemodynamic indices were determined in a single evaluation. The mixed SAS model was used to determine the effects of weight (> or < 20Kg) and side (right and left) variables (VPS, VFD, TAMEAN, TAMAX, RI, PI, S / D, DA, VFS). The wave found in this region was pattern of low resistance. No side effects were identified in the variables evaluated. Diameter of the testicular artery was higher (p<0.05) (1.86mm) in the group of animals of greater weight. In dogs, testicular diameter may be influenced by animal weight. It should be taken into account at the time of interpretation as this may influence the estimates of arterial diameter.

Ultrassonografia Dopper em ovelhas / Doppler ultrasonography in sheep

O uso da técnica de ultrassonografia em modo B, como uma ferramenta pouco invasiva na reprodução animal, passou por uma evolução significativa na pesquisa e na prática. Na exploração comercial de animais de produção seu uso é, praticamente, concentrado ao manejo reprodutivo. Embora a ultrassonografia convencional em Modo B tenha passado por avanços tecnológicos esta não possibilita o acesso às informações da função do órgão, demonstradas pela perfusão vascular. Em ovelhas, o estudo da hemodinâmica e funcionalidade do útero, ovário e suas estruturas podem ser úteis para avaliar a viabilidade de programas reprodutivos e, por conseguinte, exibirem impacto econômico diante do uso da modalidade colorida ou pulsada (ou espectral) da ultrassonografia doppler. A ultrassonografia doppler é baseada no efeito Doppler na qual as frequências dos feixes de ultrassom refletidos pelos eritrócitos em movimento variam conforme as células se movem com diferentes velocidades. No tocante a reprodução de ovelhas, uma série de estratégias tem sido apresentadas para uso desta tecnologia, dada a necessidade e intempéries apresentadas a campo. Suas principais aplicações baseiam-se na avaliação da gestação, hemodinâmica uterina, funcionalidade luteal e respostas à superovulação, dentre outras. O presente trabalho teve como objetivo apresentar os aspectos relacionados ao uso e aplicações da ultrassonografia doppler espectral e colorida na reprodução de ovelhas.

The use of B-mode ultrasound technique, as a little invasive tool in animal reproduction, has undergone a significant evolution in research and practice. In farm animals, its use is practically concentrated on reproductive management. Although conventional B-mode ultrasonography has undergone technological advances, it does not allow access to organ function information, as demonstrated by vascular perfusion. In sheep, the study of the hemodynamics and functionality of the uterus, ovary and its structures can be useful to assess reproductive programs viability and, therefore, exhibit economic impact when using the color or pulsed (or spectral) modalityof doppler ultrasound. Doppler ultrasonography is based on the Doppler effect in which the frequencies of the ultrasound beams reflected by the erythrocytes in motion vary as the cells move at different speeds. A lot of strategies have been presented using this technology, related to reproduction of sheep animals, in farm conditions. Applications are based on the evaluation of pregnancy, uterine hemodynamics, luteal functionality and responses to superovulation, among others. This work aimed to present aspects regarding to applications of spectral and color doppler ultrasound in sheep reproduction.

Ultrassonografia Dopper em ovelhas / Doppler ultrasonography in sheep

O uso da técnica de ultrassonografia em modo B, como uma ferramenta pouco invasiva na reprodução animal, passou por uma evolução significativa na pesquisa e na prática. Na exploração comercial de animais de produção seu uso é, praticamente, concentrado ao manejo reprodutivo. Embora a ultrassonografia convencional em Modo B tenha passado por avanços tecnológicos esta não possibilita o acesso às informações da função do órgão, demonstradas pela perfusão vascular. Em ovelhas, o estudo da hemodinâmica e funcionalidade do útero, ovário e suas estruturas podem ser úteis para avaliar a viabilidade de programas reprodutivos e, por conseguinte, exibirem impacto econômico diante do uso da modalidade colorida ou pulsada (ou espectral) da ultrassonografia doppler. A ultrassonografia doppler é baseada no efeito Doppler na qual as frequências dos feixes de ultrassom refletidos pelos eritrócitos em movimento variam conforme as células se movem com diferentes velocidades. No tocante a reprodução de ovelhas, uma série de estratégias tem sido apresentadas para uso desta tecnologia, dada a necessidade e intempéries apresentadas a campo. Suas principais aplicações baseiam-se na avaliação da gestação, hemodinâmica uterina, funcionalidade luteal e respostas à superovulação, dentre outras. O presente trabalho teve como objetivo apresentar os aspectos relacionados ao uso e aplicações da ultrassonografia doppler espectral e colorida na reprodução de ovelhas.(AU)

The use of B-mode ultrasound technique, as a little invasive tool in animal reproduction, has undergone a significant evolution in research and practice. In farm animals, its use is practically concentrated on reproductive management. Although conventional B-mode ultrasonography has undergone technological advances, it does not allow access to organ function information, as demonstrated by vascular perfusion. In sheep, the study of the hemodynamics and functionality of the uterus, ovary and its structures can be useful to assess reproductive programs viability and, therefore, exhibit economic impact when using the color or pulsed (or spectral) modalityof doppler ultrasound. Doppler ultrasonography is based on the Doppler effect in which the frequencies of the ultrasound beams reflected by the erythrocytes in motion vary as the cells move at different speeds. A lot of strategies have been presented using this technology, related to reproduction of sheep animals, in farm conditions. Applications are based on the evaluation of pregnancy, uterine hemodynamics, luteal functionality and responses to superovulation, among others. This work aimed to present aspects regarding to applications of spectral and color doppler ultrasound in sheep reproduction.(AU)